Manager Name: John Smith

Manager Email: 123Manager@lsgp.ca

Phone #: 999.999.9999

Corrective Action Plan

Date Corrective Action Conversation Delivered (MM/DD/YYYY): July 18, 2019

Employee Legal Name: Jane Doe Employee Position ID: N1ZM000123456

Employee Position Title: Sales Associate Store # / Store Name: #123 Fake Store

Verbal Warning

Written Warning

Final Written Warning

Date of Infraction (MM/DD/YYYY): July 15, 2019

Explanation of Incident/Behaviors/Actions (include details of occurrence):

Jane was scheduled from 3:15 PM – 11:15 PM on July 15, 2019. At approximately 4:00 PM (45 minutes
into her shift) Jane was ringing through customers at the till, and during two (2) of the transactions that
I witnessed, Jane's phone began to make a loud ringing noise and she took out her cell phone from her
pocket and began texting in front of the customers. After the customers left, I approached Jane and
asked her to put her cell phone away. I reminded her that cell phone usage should be conducted during
scheduled breaks, lunch periods or in non-working areas, not in front of customers.

Policy/SOP/Expectation/Standard Violated:
PRIMARY

6.4 Personal Device Usage

• Employees are directed to avoid making or receiving personal calls, texting, internet searching, gaming, etc.
during work time, and use personal devices only during scheduled breaks or lunch periods in non-working areas.
• Personal devices must fit in the employee’s pocket or in an approved hands-free manner. They are not to
interfere with an employee’s ability to carry merchandise or be visible to customers on counters/work surfaces.

SECONDARY

Sales Associate Position Description

Provide exemplary customer service to every person who walks into our store.

2.1 Workplace Standards

• Personal electronic devices, including cell phones, tablets, etc. are not to be used on the sales
floor or visible while working.
Action(s):
 Action Plan
Recommendation for Improvement. What steps will the Manager and Employee take to remedy violation.

Required Actions: Follow-Up Date: Completed On:

Print, read and sign Policy 6.4 Personal Device Usage and Policy On-Going July 20, 2019
2.1 Workplace Standards

Print, read and sign the Sales Associate Position Description. On-Going July 20, 2019

During work time, Jane must keep her cell phone with her personal On-Going Discussed
belongings or on silent in her pocket. During scheduled breaks, lunch July 20, 2019
periods (in non-working areas) Jane is permitted use her cell phone.

Employee Comments:

I understand the policies and I will make sure that I do not use my cell phone during work
hours.

Jane Doe
__________________________ __________________________ July 18, 2019
__________________________
Employee Name (print) Employee Signature Date of Acknowledgement

John Smith
__________________________ __________________________ July 18, 2019
__________________________
Manager Name (print) Manager Signature Date of Acknowledgement

Signatures above serve as an acknowledgement that conversations took place and that you have received a copy of
this record. You understand that further disciplinary action up to and including termination of employment may
occur if there are continued gaps in performance. This notice will be entered in your employee file.

Upon completion of this form, the manager must please email a copy to their Human Resources Business Partner
who will then place it in the employee’s personnel file. All originals must be mailed to the corporate office
attention to Human Resources.